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← COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS

Form 990 for tax year 2022

Filed by COMMUNITY HEALTH PARTNERS PHYSICIANS OFFICE BUILDINGS.

Totals

Total revenue
$1,188,018
Total expenses
$701,819
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$596,465
Management and general expenses
$105,354
Fundraising expenses
$0
Program service expenses (Part III)
$596,465

Program services were 85.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • barbara THOMAS

    Vice Chair

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • CINDY ANDREWS

    Chair

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • EDWIN OLEY

    BOARD MEMBER, PRESIDENT/CEO LORAIN REGION (END 01/22)

    Total calculated
    $411,214
    From this org
    $0
    From related orgs
    $875,345
    Other
    -$464,131
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $163,626 related
    Bonus
    $0 + $195,185 related
    Other
    $0 + $516,534 related
    Deferred
    $0 + -$473,249 related
    Nontaxable benefits
    $0 + $9,118 related
    Filer's total
    $0 + $411,214 related

  • JOHN LUELLEN MD

    President Lorain & Youngstown Market (Beg 01/22)

    Total calculated
    $1,380,433
    From this org
    $0
    From related orgs
    $1,094,816
    Other
    $285,617
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $581,611 related
    Bonus
    $0 + $216,133 related
    Other
    $0 + $297,072 related
    Deferred
    $0 + $249,780 related
    Nontaxable benefits
    $0 + $35,837 related
    Filer's total
    $0 + $1,380,433 related

  • VICTOR LEANDRY

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • CHRISTOPHER HAAS MD

    Board Member; Physician

    Total calculated
    $602,162
    From this org
    $0
    From related orgs
    $571,586
    Other
    $30,576
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $538,471 related
    Bonus
    $0
    Other
    $0 + $33,115 related
    Deferred
    $0 + $4,550 related
    Nontaxable benefits
    $0 + $26,026 related
    Filer's total
    $0 + $602,162 related

  • Darryl TUCKER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • DONALD KLINE

    Board Member & President - BSMH Samaritan Group (End 07/22)

    Total calculated
    $1,836,880
    From this org
    $0
    From related orgs
    $1,790,988
    Other
    $45,892
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $858,576 related
    Bonus
    $0 + $320,000 related
    Other
    $0 + $612,412 related
    Deferred
    $0 + $3,742 related
    Nontaxable benefits
    $0 + $42,150 related
    Filer's total
    $0 + $1,836,880 related

  • Harry Brownfield

    Board Member (End 12/22)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • MICHAEL FERRER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Parris Smith

    Board Member (Beg 01/22)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • RANDALL FORTIN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Richard White MD

    Board Member (Beg 01/22)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Robert THOMAS

    Board Member (Beg 01/22)

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • SR CAROLE ANNE GRISWOLD HM

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • TRACY GREEN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.5 + 0.5 related

  • Martin Tursky

    COO Lorain & Youngstown Market (Beg 01/22)

    Total calculated
    $600,021
    From this org
    $0
    From related orgs
    $523,162
    Other
    $76,859
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $341,260 related
    Bonus
    $0 + $129,500 related
    Other
    $0 + $52,402 related
    Deferred
    $0 + $45,108 related
    Nontaxable benefits
    $0 + $31,751 related
    Filer's total
    $0 + $600,021 related

  • Michelle Crawford

    CFO Lorain & Youngstown Market (Beg 01/22)

    Total calculated
    $392,429
    From this org
    $0
    From related orgs
    $365,131
    Other
    $27,298
    Hours/week
    0.5 + 49.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $265,064 related
    Bonus
    $0 + $70,960 related
    Other
    $0 + $29,107 related
    Deferred
    $0 + $10,464 related
    Nontaxable benefits
    $0 + $16,834 related
    Filer's total
    $0 + $392,429 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
THE COMPENSATION OF THE PRESIDENT IS DETERMINED BY BON SECOURS MERCY HEALTH, INC., A RELATED TAX-EXEMPT ORGANIZATION. BON SECOURS MERCY HEALTH, INC. UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE PRESIDENT'S Compensation.
Schedule J, Part I, Line 4a Severance or change-of-control payment
Severance Benefits consisting of continuation of base salary and insurance benefits were provided to listed individuals for specified periods. The listed individuals executed releases and waivers of claims in exchange for the severance benefits. Salary continuation amounts provided during the reporting year to listed individuals were as follows: Edwin Oley, $227,090.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
The Bon Secours Mercy Health System SERP is a non-qualified deferred compensation plan which provides supplemental retirement benefits to persons selected by the Board of Trustees or its delegate. The plan provides for annual credits of a specified percentage of an eligible participants base salary paid in a plan year and interest credits. Plan participants vest in plan credits after completing a three year class vesting schedule or earlier for death or total disability or reaching age 60 while employed, or due to involuntary separation of employment other than for cause. Payments during employment are made for required tax withholding and reduce the participants account balance. Distribution of the vested account balance in a lump sum occurs after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Edwin Oley $147,244; Donald Kline $184,492; Michelle Crawford, $0; John Luellen, MD, $84,688; Martin Tursky, $0.
Schedule J, Part I, Line 4b Terms and conditions of the Youngstown Market SERP
The Youngstown Market SERP Plan is a deferred compensation plan which provides supplemental retirement benefits to persons selected by the Mercy Health Youngstown LLC Board of trustees or its delegate. The plan is no longer accepting new participants and cessation of contributions has occurred. Participants vest 100% in their accounts after three years of service, except for participants who had attained at least ten years of service at plan inception, who had immediate vesting. Vesting occurs earlier upon death or total disability. Payments are made during employment for required tax withholding. The vested account balance is paid as a lump sum after termination of employment. Amounts includible as taxable compensation for listed individuals due to SERP participation in the reporting year were as follows: Donald Kline $0.
Schedule J, Part II, Column (C) REPORTING NEGATIVE DEFERRED COMPENSATION
ANNUAL ACTUARIALLY-DETERMINED CONTRIBUTIONS TO DEFINED BENEFIT PLANS, WHICH ARE BASED ON PRIOR PLAN CONTRIBUTIONS, CHANGES IN INTEREST RATES, THE PRESENT VALUE OF ACCRUED BENEFITS, AND OTHER DATA AND ASSUMPTIONS ABOUT THE FUTURE, MAY, FOR SOME PLAN PARTICIPANTS AND FOR SOME PLAN YEARS, RESULT IN NEGATIVE CONTRIBUTION AMOUNTS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
5 October 2023
IRS schema version
2022v5.0
Source object
202332789349300238

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